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A Parent's Guide to Glue Ear

Otitis Media with Effusion

Otitis media with effusion (glue ear) treatment focuses on protecting your child's hearing and speech development through evidence-based watchful waiting or grommets surgery when needed. Dr Nguyen specialises in determining the optimal timing for intervention to preserve language development for families across the Sydney and Forster regions.

When Does My Child Need Treatment for Glue Ear?

Dr Nguyen understands that glue ear can be confusing for parents. Unlike painful ear infections, this condition involves fluid without infection, making treatment decisions more nuanced and focused on protecting hearing during critical speech development periods.

Specialist evaluation is necessary when:

  • Persistent fluid behind the eardrum lasts for 3 or more months.
  • Speech development concerns emerge, such as delayed language or unclear speech.
  • A hearing test documents hearing loss.
  • School performance is affected by attention or learning difficulties possibly related to hearing.
  • Fluid is present in both ears, increasing the impact on communication.

Dr Nguyen's Structured Decision-Making Framework

This quick guide can help you understand the factors we consider

Fluid Duration
Is it less than 3 months (monitor) or more than 4 months (consider intervention)?
Hearing Impact
Is there a documented hearing loss?
Both Ears
Are both ears affected? (Bilateral involvement increases urgency)
Speech Development
Are there any communication delays for your child's age? (Delays suggest earlier intervention)

Should My Child Have Surgery or Wait and See?

Dr Nguyen has vast experience in treating children with otitis media with effusion through training in paediatric ENT at Westmead Children’s Hospital, Sydney Children’s Hospital, John Hunter Children’s Hospital as well as McMaster Children's Hospital in Hamilton, Canada.

Watchful Waiting: When Observation Is Appropriate

Dr Nguyen follows international guidelines that support "watchful waiting" when specific criteria are met, as many cases of glue ear resolve naturally. This is an active monitoring strategy to ensure your child's hearing and development are protected.

Ideal candidates for watchful waiting often have:

  • Fluid present for less than 3-4 months.
  • Normal speech development for their age.
  • Fluid in only one ear (unilateral).
  • Mild hearing loss with minimal impact on communication.

Dr Nguyen's Expert Take

"Asking a parent to 'wait and see' can be nerve-wracking, which is why we reframe it as 'active monitoring.' We become a team. I recommend regular, objective hearing tests, and I empower parents with techniques to monitor their child's responses at home. This structured approach ensures that while we give the body a chance to heal naturally, we are ready to intervene the moment it becomes necessary to protect the child's development."

Grommets Surgery

When Intervention Is Recommended

Dr Nguyen recommends grommets when evidence shows that intervention will provide better outcomes than continued waiting.

Primary indications for surgery include:

  • Persistent fluid lasting 4+ months with documented hearing loss.
  • Significant hearing loss (greater than 25-30 dB) that affects communication.
  • Bilateral involvement (both ears are affected).
  • Speech development delays linked to hearing loss.

Grommets Procedure Specifics:

The surgery is brief (typically 15-20 minutes) and performed under general anaesthesia. A tiny tube (grommet) is placed in the eardrum to drain the fluid and ventilate the middle ear, resulting in an immediate improvement in hearing. Most children go home the same day and recover very quickly.

The Combined Procedures of Grommets Plus Adenoidectomy

In some cases, Dr Nguyen may recommend removing the adenoids at the same time as inserting grommets. Enlarged adenoids, located at the back of the nose, can physically block the Eustachian tube's opening, preventing the ear from draining properly. In these cases, removing the adenoids can help prevent the fluid from coming back after the grommets have fallen out.

Dr Nguyen's Expert Take

"The decision between watchful waiting and grommets is one of the most important I make. I've learned from treating hundreds of children that timing is everything. Some children can wait safely, while others need prompt intervention to protect their speech. The key is understanding each child's individual situation—their age, the severity of hearing loss, and whether it's affecting their communication or education."

Frequently Asked Questions

Evidence supports watchful waiting for 3-4 months if hearing loss is mild and speech is normal. Dr Nguyen considers earlier intervention if hearing loss is significant, affects both ears, or impacts your child's speech development.

Most children with glue ear achieve normal or near-normal hearing with appropriate treatment. With grommets, hearing improvement is typically immediate and dramatic.

When properly managed, glue ear rarely causes permanent speech problems. Early intervention or appropriate monitoring protects speech development during critical periods.

Grommet insertion surgery is very safe. The procedure is quick, complications are rare, and the benefits include immediate hearing improvement and protection of speech development.

Children with grommets can swim with appropriate ear protection to prevent water from entering the middle ear. Custom earplugs or headbands are recommended.

Recurrent Otitis Media

When glue ear combines with frequent infections

General Paediatrics

Comprehensive children's ENT care and evaluation

Paediatric Sleep Treatment

When hearing problems affect sleep quality

Allergies

Environmental factors contributing to eustachian tube dysfunction

Patient Journey

What to expect during your child's consultation

Ready to Protect Your Child's Hearing Development?

Is your child experiencing hearing difficulties, speech delays, or attention problems that might be related to fluid behind the eardrums?

Dr Nguyen's evidence-based approach can determine the optimal treatment strategy for your child, whether through careful monitoring or grommets surgery, ensuring the best outcomes for hearing and speech development.

Next Steps

Schedule Your Child's Hearing Assessment Comprehensive evaluation including hearing testing, speech assessment, and treatment planning

Clinic Locations

  • Forster
Consultation, follow-up, and allergy coordination
  • Gledswood Hills
Full diagnostic and treatment services
  • Liverpool
Full diagnostic and treatment services
Full diagnostic and treatment services
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